Organization
ANTHONY CREEK VOLUNTEER FIRE DEPARTMENT & RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WHEELER (PROVIDER RELATIONS SPECIALIST)
(304) 522-7533
Entity
Organization
Contact information
Practice address
HC 70 BOX N10, NEOLA, WV 24961
(304) 536-1636
(304) 536-1636
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701
(304) 522-7533
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
WV EMS
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144781000
—
WV
Enumeration date
04/30/2007
Last updated
04/20/2008
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